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Individual
TY KAYS
Active
Individual
TY KAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8080
NC
101YP2500X
Professional Counselor
0701004355
VA
101YP2500X
Professional Counselor
8080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945573
—
VA
01
—
6104642
NC HEALTH CHOICE
NC
05
—
6104642
—
NC
01
—
C03714
MEDICARE
VA
Enumeration date
02/24/2009
Last updated
06/10/2013
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